Research Information System
Medeniyet Medical Journal, vol.32, no.2, pp.73-79, 2017 (Scopus, TRDizin)
Despite advances in operation techniques and implant technology, there is still no consensus on both preoperative planning and postoperative follow-up of tibial plateau fractures. The aim of this study is to evaluate the functional results of bicondylar tibia plateau fractured patients treated in Ankara Numune Training and Research Hospital Orthopedic Clinic both from clinical and radiological aspects. The median follow-up period of 24 retrospectively determined patients was 33.1 months. Patients were divided into two groups as patients with single or double plates. Demographic characteristics of the two groups, fracture mechanisms and fracture types were determined. Functional outcomes were determined by using Rasmussen clinical and radiological scoring systems. There was no functional or radiological difference between the two groups (p>0.05). Rasmussen clinical scores and radiological scores were found to be statistically compatible (p=0.001). Both surgical techniques can be used as an option in bicondylar tibia plateau fractures. However, in patients with double plates, soft tissue infection was seen more frequently, whereas in patients who only have lateral plate, more frequently seen collapses on the joint surface may affect surgical preferences. Detailed clinical and radiological analysis and preoperative planning are crucial in determining the appropriate surgical technique so that the expected functional results can be obtained.